Bill > HB4845

This bill establishes new requirements for the Texas Medicaid program's provider enrollment revalidation process. Specifically, the Texas Health and Human Services Commission must provide written notice to Medicaid providers at least 120 days before their enrollment period expires, detailing the expiration date and providing comprehensive instructions for the revalidation process. If a provider submits their revalidation application at least 90 days before expiration, the commission must review it for deficiencies and, if any are found, notify the provider at least 60 days before expiration and give them 10 days to correct the issues. The bill mandates that if a provider submits the application in good faith and meets all correction deadlines, the commission must finalize the application before the enrollment period expires. This legislation is designed to create a more transparent and supportive process for Medicaid providers seeking to maintain their enrollment, with provisions taking effect for providers whose enrollment periods expire on or after January 1, 2026, and the overall act becoming effective on September 1, 2025.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4845